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Endoscopic Stapedectomy

Michael E. Hoffer, MD; C. Scott Brown, MD
University of Miami Miller School of Medicine

1. Local Anesthetic Injection

2. Tympanomeatal Flap

3. Elevate Annulus

4. Remove Scutum

5. Middle Ear Assessment

6. Incudostapedial Joint Separation

7. Divide Stapedial Tendon and Posterior Crus

  1. Downfracture Stapes Superstructure

8. Harvest Perichondrium

9. Remove Stapes Footplate

10. Graft Placement

11. Prosthesis Placement

12. Closure